1218 WETMORE AVE 2019-05-22 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 ( FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.govlpermits PROJECT ADDRESS: 12 f413. wc-hmrr". :o BUILDING AREA Of residential,new construction,remodel,or addition}. SF BUILDING TYPE: Iiii SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS; 0 COMMERCIAL USE OF BUILDING: CONTRACT PRICE OF WORK: $ ' 5.0 ,ems NUMBER OF DEVICES if low voltaT FIRE ALARM? 0 YES WNO ASSOCIATED BUILDING PERMIT#Of applicable): . ... SI UPTI( OF OR ! .. feicl --it;wx wt & ase !Lind p, e, - i . .,A't - t o - �3. OWNER NAME: '° a Me, . TENANT NAME if Commercial OWNER MAILING ADDRESS: STREET 1. ,y ti)e4or .. CITY -6 V V STATE... A _.. ZIP 4. w 20 OWNER PHONE: m '0 s OWNER EMAIL: ONTRACTOR NAME: ,filt A L e ' CONTRACTOR ADDRESS: STREET 1 ' .' } 'p:'r, CITY -.'te„ STATE... ZIP 20 I CONTRACTOR PHONE ii,... �.t 0 . CONTRACTOR EMAIL # ',0 0,4 '', „,116/fe; r d Y ? ; , : = O RED):0`" ' t V,' *441ffitital.1111111111111 CITY OP EVERETT BUSINESS LIC # QUIRED: lerellik. ,. PRIMARY CONTACT: 0 OWNER FA CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE. ' q o j to CONTACT EMAIL. a w {� i AGofREEMENT..I hereby certify that l:have read and examined this application end know the same to be true and Correct. All provisions of laws and ordinances governing this type work will be completed whether specified herein or not, The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That tam authorized by the owner of this properly to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only 4 PERMIT# 5:,/ ./ OwneriA+sthcrrixed Agent Signature /2 ® [ F Date (Revised 8/23/2016)